Thomas McAuley
29 Oct 2018 · Coroner Andrew Harris · London Inner (South)
The coroner's concerns
1. lack of DPMF availability in prison wings
“The reception nurse said that she would have had access to DPMEs but does not always have time to look at these. The DPMF was not available in the wings.”
2. inconsistent DPMF distribution to health care staff
“A manager of the drug addiction services in the prison said that health care staff were not always given the DPMF”
3. lack of access to uploaded case history notes
“An Oxleas manager said that the case history notes from the prison were uploaded onto PNomis, but a prison doctor did not think he had access to this”
4. universal DPMF availability not ensured
“A representative of Oxleas HC reported that a new process required a nurse to tick a box when the DPMF was uploaded onto the medical records, but there was no evidence that the DPMF is universally available to health care staff”
5. absence of communication between police and health care staff
“There was no evidence that police doctors communicated directly with health cate staff in prison, or arranged for transfer of medical information between doctors”
Responses
2018-0309-Response-by-Metropolitan-Police.pdf ↗· Metropolitan Police Service
Stated action · April 2019
“There is currently work in | progress to change the PER to a_detainee between partner agenciés. HMPPS are leading on this project, which includes attaching additional documentation and notes to highlight the increased risks to partner agencies. The new PER will contain additional heaith and social care information, which will mitigate the identified risks when vulnerable people are being transferred between the police escort contractors and HMPPS custody. It is anticipated that this project will”